12 years ago, the Repugs mocked at the enactment of ObamaCare, claiming that no one would sign up; as it turned out ~ 6 million American signed up, O was counting on 3 million as of Nov 2021, 58% of Americans had a favorable opinion on the ACA, https://www.statista.com/statistics/246901/opinion-on-the-health-reform-law-in-the-united-states/ Biden and Obama mark 12th anniversary of Affordable Care Act Obama is returning to the White House on Tuesday to savor his signature Affordable Care Act. That law is now part of the fabric of the American health care system and President Joe Biden is looking to extend its reach. Sign-ups have increased under Biden’s stewardship, and more generous taxpayer subsidies have cut costs for enrollees. Biden and Obama are marking the 12th anniversary of the law's enactment, and they're out to expand its footprint. The meeting between the two comes as the Biden administration announces a new rule that will give more families access to ACA subsidies.
Was behind it initially but man, it has ultimately led to corporate takeover by large hospital systems and insurance companies. Patients have been relegated to (more) of their care being driven by monetary incentives and corners cut (they probably won’t ever be aware of) People not on the inside may not be aware but the aftermath of the ACA (not its intentions) have made me dig deeper into my principles/what I believe to be right more than ever before. the country should go straight to Canadian system at this point. This one foot In and out approach is just screwing people
it'd behoove you to get the facts / numbers, as stated in the first post, at the start 12 yrs ago ~ 6 Million Americans signed up for the ACA; as of Jun 2021, Record 31 million Americans have health-care coverage through Affordable Care Act
Jugdish, meet Astrodome. thanks for corroborating my point, that the ACA, as pointed out by you, has become a part of the fabric of American life, just like Taco Bell but, i don't need the help.
More people are insured, but costs aren't contained nor did we see the promised windfall in savings. Half assing it doesn't work and the promises to improve the system with benchmarks and experimental feedback didn't materialize either. Definitely a work in progress where the public considers settled.
I doubt anyone thinks it's perfect or solved our problems. The problems you cite though existed before and there is a lot of evidence that medical cost were rising much faster before the ACA. The ACA like many other things wasn't a matter of having the ACA or having a Canadian style health system. It was having the ACA or not having any health reform at all as the opposition in Congress then was fine with not doing anything. The opposition as shown since is perfectly fine with doing away with the ACA but not offering any viable alternatives. Congress has tried to repeal the ACA many times but to the best of my knowledge they haven't even put up an alternative plan to a vote.
Nope not even close, private practices don’t really exist anymore and there’s a reason for it. These large corps phagocytose entire cities and write them off in their taxes and the subsequently dictate what can and can’t be done. These problems didn’t exist in anywhere near of a scale. Think about your loved one going to a physician and them not even being to recommend what they think is best bexause of what these mob like corps require. Even worse, you might not even get seen by a physician while they bill you for it. The ACA opened the flood gates for a monopoly of healthcare with how to t was rolled out. May surprise you… but Your private equities buying out whataburger don’t really treat people much differently than the burgers they advertise. Think about a loved one being subjected to that and you’ll know Where I’m coming from again; it’s really hard for people not in the mix to get it but it’s appalling. Im also not saying it was perfect before, but in large patient care has taken a large large hit
I'm not quite sure what you mean. Private practices do still exist. I know people who are in private practices. If you're talking about the growth of things like HMO's again that was already happening before. Again I'm not clear what you mean by "not in the mix" but I know many people who are in medicine and also who work for health insurance companies. There are certainly many problems but the situation before the ACA was worse in regards to the amount of uninsured and paying for health care. The ACA has reduced the amount of uninsured and the Medicaid benefits that many states have taken have given coverage to many of the poor and rural who were lacking resources to pay for health care before.
Again , you’re wrong man. Maybe it’s my wording but yes they aren’t a 100% extinct but what you’re referring to as seeing are basically large groups. Individual practices do exist in certain fields and some places but they have become rare. The only realistic alternative to corps are large groups some of who are owned by private equity. you can look this up anywhere or take my word for it given that I’m pretty aware of the job market/openings and keep an eye out for friends /colleagues. I don’t mean to sound condescending but you’re coming from a view point of “friends of friends said this” and “we have less people uninsured” as a bench mark. Not to mention, that with regards to urgent pressing needs an uninsured status was never relevant. 95% of the people rolling into the ER before , and still a significant portion being uninsured were managed from a cost stand point the same. The hospital eats the cost and writes it off in their taxes, everybody collectively pays for it. I’ve done the billing side, I’ve done the patient side. These arguments and these points are an illusion built for people. I’m not sitting here being the meanie “I don’t want people to be insured!” Before you respond to me talk to an ER doc or somebody else , just goto any random clinic and ask someone who you feel can be honest with you. This information is in plain sight. The effects of it etc are something I deal with daily
Also @rocketsjudoka the cost argument is the biggest eye opener. What you pay as a self pay and what your hospital; what your insurance company pay for the same service are entirely 2 different things (it doesn’t favor you multiple times over). This is the primary reason for mergers and being able to negotiate dictate prices to a larger degree. In the end nobody can really say anything. To avoid detailing this gonna let’s this be for now
Mergers and consolidation are happening everywhere, not sure why one would assume it was something specific to the effects of ACA. Also, Americans have gotten more obese and older which pushes the costs up.
Hmm... isn't the spike in use of ER for primary medical care the result of the removal of the mandate, allowing people to choose to NOT be covered under ACA? Why blame that on ACA then?
There's a lot to unpack there but just to hit on one point. Yes ER's and doctors have to treat people in an emergency no matter their ability to pay. The problem with that is that that is a public option under the most inefficient and problematic methods. As you note it just ends up passing on the cost to others and raises the cost of medical care for all. Besides that though hospitals will still try to collect and there have been many stories amount the burdens of medical debt.
I know almost nothing about these large corp takeovers in the health industry. But wondering if this is specifically because of the ACA or part of the larger trend in almost every industry where big players are eating up everything. Dental may be a good comparison since it was not touched by ACA. Are the big players there eating up all the small players? I have personally seen plenty of small dental practices but also have seen a trend of corp buying them up or pushing them away.
BTW, when ACA passed (without the public option), I believe some Republicans were *scared ***** that it was nothing more than a steppingstone for the US to eventually move to the modern world of health care systems around the world (like the Canadian system). At least from public opinion today, they were right to be fearful. People are tired of our unfair and way too expensive profit-driven health care systems.
